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A survey of admissions following self-poisoning

  • Stephen J. Leslie (a1), Lynn Greig (a2), Rhona Mackie (a2), Michael Gotz (a2) and Douglas Morrison (a2)...
Abstract
Aims and Method

Patients who self-poison are at increased risk of future self-poisoning and early death. Admission patterns and effective treatment strategies are unclear although psychosocial assessment may reduce readmissions. This study aimed to determine admission patterns and the proportion of patients receiving a psychiatric assessment in 4220 consecutive admissions.

Results

The average age was 34 years (s.d.=13, range 13–94); most were female (56 v. 44%, P<50.001). Twelve per cent of patients were aged 13–18 years, again the majority were female (70 v. 30%, P<50.001). Twenty per cent of patients had multiple admissions, accounting for 42% of the total admissions. There were slightly more admissions per day at the weekend (Friday, Saturday and Sunday; P<0.002). As many as 245 patients were either not referred or ‘self-discharged’ before they were assessed by the liaison psychiatry service.

Clinical Implications

These findings may help target medical resources, suggesting that consistent numbers of staff are required during all days of the week.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Bennewith, O., Stocks, N., Gunnell, D., et al (2002) General practice based intervention to prevent repeat episodes of deliberate self harm: cluster randomised controlled trial. BMJ, 324, 12541257.
Beratis, S., Gourzis, P., Gabriel, J. (1996) Psychological factors in the development of mood disorders with a seasonal pattern. Psychopathology, 29, 331339.
Bialas, M. C., Reid, P. G., Beck, P., et al (1996) Changing patterns of self-poisoning in a UK health district. Quarterly Journal of Medicine, 89, 893901.
Chenet, L., Britton, A., Kalediene, R., et al (2001) Daily variation in deaths in Lithuania: the possible contribution of binge drinking. International Journal of Epidemiology, 30, 743748.
Engeland, A. & Kopjar, B. (2000) Injuries connected to violence – an analysis of data from the injury registry. Tidsskrift for den Norske Laegeforening, 120, 714717.
Gunnell, D. & Frankel, S. (1994) Prevention of suicide: aspiration and evidence. BMJ, 308, 12271233.
Hawton, K., Fagg, J., Simkin, S., et al (1997) Trends in deliberate self-harm in Oxford, 1985–1995. Implications for clinical services and the prevention of suicide. British Journal of Psychiatry, 171, 556560.
Hawton, K., Arensman, E., Townsend, E., et al (1998) Deliberate self harm: a systematic review of the efficacy of psychosocial and pharmacological treatments in preventing relapse. BMJ, 317, 441447.
Hawton, K., Harris, L., Simkin, S., et al (1999) Deliberate Self-Harm in Oxford. Oxford: University of Oxford.
Hulse, G. K., Robertson, S. I., Tait, R. J. (2001) Adolescent emergency department presentations with alcohol or other drug related problems in Perth, Western Australia. Addiction, 96, 10591067.
Kapur, N., House, A., Dodgson, K., et al (2002) Effect of general hospital management on repeat episodes of deliberate self poisoning: cohort study. BMJ, 325, 866867.
Mcevedy, C. J. (1997) Trends in self-poisoning: admissions to a central London hospital 1991–1994. Journal of the Royal Society of Medicine, 90, 496498.
Nunez, S., Garcia-Martin, P. & Aguirre-Jaime, A. (2000) Victims of violence in an emergency department. European Journal of Emergency Medicine, 7, 4549.
Suhail, K. & Cochrane, R. (1998) Seasonal variations in hospital admissions for affective disorders by gender and ethnicity. Social Psychiatry and Psychiatric Epidemiology, 33, 211217.
Vander Sande, R., van Rooijen, L., Buskens, E., et al (1997) Intensive in-patient and community intervention versus routine care after attempted suicide: a randomised controlled intervention study. British Journal of Psychiatry, 171, 3541.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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A survey of admissions following self-poisoning

  • Stephen J. Leslie (a1), Lynn Greig (a2), Rhona Mackie (a2), Michael Gotz (a2) and Douglas Morrison (a2)...
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